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Parents Association

Welcome Aboard!

To be added to the list, simply fill out the form below.
First Name:
Last Name:
Primary E-mail:
Secondary E-mail:
Envelope Title:
	(i.e., John & Jane Pirate)
	I am interested in joining the Parents Council
Additional information needed for full Pirate Parent Mail Club Membership.
Spouse First Name:
Spouse Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
Student #1 Name:
Year:
Student #2 Name:
Year:
Student #3 Name:
Year:

East Carolina University | Student Affairs Advancement
Greenville Centre, Ste. 1103, 2200 S. Charles Blvd. | Greenville, NC 27858-4353 USA